| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $829.63 | $829.63 | $11,000.00 | |
Medica
| Facility | $829.63 | $1,410.37 | $10,283.52 |
Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract formation/dilatation, stent placement and all associated imaging guidance and documentation)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $829.63 | $829.63 | $11,000.00 | |
Medica
| Facility | $829.63 | $1,410.37 | $10,283.52 |